|
Cast sup shrt leg ped fbrgls
|
$32.00 |
$32.00 |
$32.00 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$31.00 |
$31.00 |
$31.00 |
$36.00
|
|
Cast sup sht arm ped fbrglas
|
$16.00 |
$16.00 |
$16.00 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$20.00 |
$20.00 |
$20.00 |
$26.98
|
|
Cath access del ds spyscop 2.0
|
$267.60 |
$267.60 |
$267.60 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$507.00 |
$507.00 |
$507.00 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$675.00 |
$675.00 |
$675.00 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$249.00 |
$249.00 |
$249.00 |
$6,882.20
|
|
Cath combo lt&rt heart w/inj/s
|
$11,593.15 |
$11,593.15 |
$11,593.15 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$987.00 |
$987.00 |
$987.00 |
$4,488.99
|
|
Catheter declot mechanical
|
$2,747.20 |
$2,747.20 |
$2,747.20 |
$1,929.15
|
|
Catheterization collection of specimen single patient all places of service
|
$78.00 |
$78.00 |
$78.00 |
$40.95
|
|
Catheter stripping venous
|
$2,747.20 |
$2,747.20 |
$2,747.20 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$650.00 |
$650.00 |
$650.00 |
$1,690.71
|
|
Cath left heart/lv gram
|
$11,593.15 |
$11,593.15 |
$11,593.15 |
$8,035.50
|
|
Cath lt/rt pulm art
|
$1,308.05 |
$1,308.05 |
$1,308.05 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$945.53 |
$945.53 |
$945.53 |
$2,549.50
|
|
Cath place 1st order venous 36011
|
$961.90 |
$961.90 |
$961.90 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$871.90 |
$871.90 |
$871.90 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$351.20 |
$351.20 |
$351.20 |
$462.80
|
|
Cath segmntl pulm art
|
$1,500.10 |
$1,500.10 |
$1,500.10 |
$1,294.19
|
|
Cath stripping venous s&i
|
$2,219.55 |
$2,219.55 |
$2,219.55 |
$682.34
|
|
Cath uret open tp 6fx70cm
|
$182.91 |
$182.91 |
$182.91 |
$573.88
|
|
#cbg+cort-cbg
|
$45.00 |
$45.00 |
$45.00 |
$66.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$74.35 |
$74.35 |
$74.35 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$24.18 |
$24.18 |
$24.18 |
$45.47
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$799.12 |
$799.12 |
$799.12 |
$602.45
|
|
Ceftazidime and avibactam
|
$1,421.17 |
$1,421.17 |
$1,421.17 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$40.15 |
$40.15 |
$40.15 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$29.45 |
$29.45 |
$29.45 |
$30.66
|
|
Cell count body fluid
|
$127.20 |
$127.20 |
$127.20 |
$63.52
|
|
Cell count w differential body fluid
|
$246.50 |
$246.50 |
$246.50 |
$92.56
|
|
Cell marker study
|
$835.35 |
$835.35 |
$835.35 |
$239.85
|
|
#cf-97variants
|
$1,653.75 |
$1,653.75 |
$1,653.75 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$696.70 |
$696.70 |
$696.70 |
$1,527.00
|
|
Change cystostomy tube simple
|
$696.70 |
$696.70 |
$696.70 |
$477.60
|
|
Change g-tube to g-j perc
|
$3,031.95 |
$3,031.95 |
$3,031.95 |
$2,198.81
|
|
Change nephroureteral cath
|
$2,374.15 |
$2,374.15 |
$2,374.15 |
$3,083.97
|
|
Change of ureter tube/stent
|
$2,653.00 |
$2,653.00 |
$2,653.00 |
$2,424.12
|
|
Change ureter stent percut
|
$6,376.05 |
$6,376.05 |
$6,376.05 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$939.05 |
$939.05 |
$939.05 |
$720.20
|
|
Chest 2 vws w oblique
|
$663.00 |
$663.00 |
$663.00 |
$375.60
|
|
Chest apical lordotic proj
|
$663.00 |
$663.00 |
$663.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,649.25 |
$2,649.25 |
$2,649.25 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$936.55 |
$936.55 |
$936.55 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$159.05 |
$159.05 |
$159.05 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$127.85 |
$127.85 |
$127.85 |
$134.50
|
|
Chest Ultrasound
|
$924.60 |
$924.60 |
$924.60 |
$463.88
|
|
Chest X-ray
|
$391.40 |
$391.40 |
$391.40 |
$294.06
|
|
Chest X-ray (single view)
|
$346.05 |
$346.05 |
$346.05 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$165.30 |
$165.30 |
$165.30 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$582.65 |
$582.65 |
$582.65 |
$520.80
|
|
Chlamydia culture
|
$54.45 |
$54.45 |
$54.45 |
$91.00
|
|
Chlamydia type
|
$14.50 |
$14.50 |
$14.50 |
$34.98
|
|
Chlmyd pneum dna dir probe
|
$20.00 |
$20.00 |
$20.00 |
$50.40
|
|
Chloride
|
$90.80 |
$90.80 |
$90.80 |
$42.63
|
|
Chloride 24 hour urine
|
$99.10 |
$99.10 |
$99.10 |
$50.88
|
|
Chloroprocaine hcl injection
|
$112.73 |
$112.73 |
$112.73 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$159.58 |
$159.58 |
$159.58 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$145.52 |
$145.52 |
$145.52 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$7,166.50 |
$7,166.50 |
$7,166.50 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$497.55 |
$497.55 |
$497.55 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,264.20 |
$10,264.20 |
$10,264.20 |
$3,856.84
|
|
Cholesterol
|
$51.00 |
$51.00 |
$51.00 |
$45.76
|
|
Cholesterol body fluid
|
$164.90 |
$164.90 |
$164.90 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$201.65 |
$201.65 |
$201.65 |
$115.80
|
|
Chromatography
|
$50.15 |
$50.15 |
$50.15 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$416.80 |
$416.80 |
$416.80 |
$250.00
|
|
Chromosome analys amniotic
|
$451.50 |
$451.50 |
$451.50 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$347.35 |
$347.35 |
$347.35 |
$517.11
|
|
Chromosome analys placenta
|
$490.25 |
$490.25 |
$490.25 |
$572.99
|
|
Chromosome karyotype study
|
$193.20 |
$193.20 |
$193.20 |
$120.00
|
|
Cine/video x-rays
|
$43.00 |
$43.00 |
$43.00 |
$321.64
|
|
Circumcise/surg/28 days or < 54160
|
$283.40 |
$283.40 |
$283.40 |
$1,219.20
|
|
Circumcision (newborn)
|
$283.40 |
$283.40 |
$283.40 |
$1,364.88
|
|
Clearance of airways
|
$570.40 |
$570.40 |
$570.40 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$65.74 |
$65.74 |
$65.74 |
$55.20
|
|
Clip ligating vesolock lg
|
$91.30 |
$91.30 |
$91.30 |
$4,320.00
|
|
Clot factor xii hageman
|
$217.55 |
$217.55 |
$217.55 |
$138.40
|
|
#cmvcul-virus inoculation shell
|
$58.10 |
$58.10 |
$58.10 |
$89.76
|
|
Cmv pcr-sendout
|
$97.45 |
$97.45 |
$97.45 |
$175.70
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$207.05 |
$207.05 |
$207.05 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$197.80 |
$197.80 |
$197.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$248.10 |
$248.10 |
$248.10 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$14.25 |
$14.25 |
$14.25 |
$173.50
|
|
Compatibility test each unit electronic
|
$458.20 |
$458.20 |
$458.20 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$88.30 |
$88.30 |
$88.30 |
$169.52
|
|
Complement antigen each component c3
|
$25.10 |
$25.10 |
$25.10 |
$110.00
|
|
Concentration infection agents any type
|
$19.80 |
$19.80 |
$19.80 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,289.50 |
$1,289.50 |
$1,289.50 |
$860.00
|
|
Connect omega .5mm
|
$452.27 |
$452.27 |
$452.27 |
$1,260.00
|
|
Connector tis 2x10mm
|
$2,749.00 |
$2,749.00 |
$2,749.00 |
$4,024.34
|
|
Consultation pathology during surgery frozen section each additional block
|
$223.15 |
$223.15 |
$223.15 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$350.20 |
$350.20 |
$350.20 |
$226.50
|
|
Consultation with family
|
$142.90 |
$142.90 |
$142.90 |
$135.79
|
